The nurse is preparing to insert a urinary catheter. The package is dry but shows signs of yellowing inside the plastic wrapper, as if the package was wet at one time. What should the nurse do?

a. Use the package because it is dry at present.
b. Consider the outer package contaminated, but the inner package sterile.
c. Discard the entire package as contaminated.
d. Open the package and consider the 1-inch border as contaminated.


C
A sterile barrier that has been permeated by punctures, tears, or moisture must be considered contaminated. If there is any question or doubt of an item's sterility, the item is considered to be unsterile. Once a sterile package has been opened, a 2.5-cm (1-inch) border around the edges is considered unsterile.

Nursing

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Which of the following drug classes is considered to be the drug class of choice for management of overactive bladder (OAB)?

a. Alpha blockers b. Urinary tract antispasmodics c. Phosphodiasterase inhibitors d. Antimuscarinics

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A patient has taken five or six nitroglycerin tablets a day to prevent chest pain for more than 2 years. His health care provider has recommended that he decrease the amount of medication he takes a day to no more than three tablets

How should the patient reduce his medication? 1. Stop taking the medication all at once. 2. Take one fewer tablet every 2 months. 3. Gradually cut down over a period of time. 4. Take the medication once a week.

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A client develops epistaxis. Which conditions in the client's history could have contributed to this problem? (Select all that apply.)

a. Diabetes mellitus b. Hypertension c. Leukemia d. Cocaine use e. Migraine f. Elevated platelets g. High cholesterol

Nursing

Concerning dysfunctional uterine bleeding (DUB), nurses should be aware that:

1. it is most commonly caused by anovulation. 2. it most often occurs in middle age. 3. the diagnosis of DUB should be the first considered for abnormal menstrual bleeding. 4. the most effective medical treatment involves steroids.

Nursing